Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $6,606.93 / $9,772.37	Facility		$575.44	$6,606.93	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $794.33 / $3,311.31	Professional		$288.40	$794.33	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $3,801.89	Professional		$645.65	$812.83	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,698.24 / $3,090.30	Professional		$288.40	$1,698.24	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,801.89 / $14,454.40	Facility		$691.83	$3,801.89	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,691.53 / $5,011.87	Professional		$776.25	$2,691.53	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,691.53 / $3,801.89	Professional		$707.95	$2,691.53	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $3,630.78	Professional		$776.25	$776.25	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $676.08 / $2,691.53	Professional		$288.40	$676.08	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $15,135.61	Facility		$7,413.10	$11,481.54	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,380.38 / $4,265.80	Professional		$346.74	$1,380.38	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $3,019.95	Professional		$575.44	$676.08	$3,019.95